NHA CBCS CERTIFICATION EXAM AND PRACTICE EXAM NEWEST QUESTIONS AND CORRECT DETAILED ANSWERS

NHA CBCS CERTIFICATION EXAM AND
PRACTICE EXAM NEWEST 2024-2025
QUESTIONS AND CORRECT DETAILED
ANSWERS
WhichHofHtheHfollowingHisHconsideredHtheHfinalHdeterminationHofHtheHissuesHinvolvingHsettlementHofHanHin
suranceHclaim?H-HcorrectHanswer-Adjudication



AHformHthatHcontainsHcharges,HDOS,HCPTHcodes,HICDHcodes,HfeesHandHcopaymentHinformationHisHcalledHwh
ichHofHtheHfollowing?H-HcorrectHanswer-EncounterHform



AHpatientHcomesHtoHtheHhospitalHforHanHinpatientHprocedure.HWhichHofHtheHfollowingHhospitalHstaffHmemb
ersHisHresponsibleHforHtheHinitialHpatientHinterview,HobtainingHdemographicHandHinsuranceHinformation,Han
dHdocumentingHtheHchiefHcomplaint?H-HcorrectHanswer-AdmittingHclerk



WhichHofHtheHfollowingHprivacyHmeasuresHensuresHprotectedHhealthHinformationH(phi)?H-HcorrectHanswer-
UsingHdataHencryptionHsoftwareHonHofficeHworkstations



WhichHofHtheHfollowingHplanesHdividesHtheHbodyHintoHleftHandHright?H-HcorrectHanswer-Sagittal



WhichHofHtheHfollowingHprovisionsHensuresHthatHanHinsured'sHbenefitsHfromHallHinsuranceHcompaniesHdoHn
otHexceedH100%HofHallowableHmedicalHexpenses?H-HcorrectHanswer-CoordinationHofHbenefits



WhichHofHtheHfollowingHactionsHshouldHbeHtakenHfirstHwhenHreviewingHaHdelinquentHclaim?H-
HcorrectHanswer-VerifyHtheHageHofHtheHaccount




WhichHofHtheHfollowingHisHtheHadvantageHofHelectronicHclaimHsubmission?H-HcorrectHanswer-
ClaimsHareHexpedited



WhichHofHtheHfollowingHcomponentsHofHanHexplanationHofHbenefitsHexpeditesHtheHprocessHofHaHphoneHap
peal?H-HcorrectHanswer-ClaimHcontrolHnumber

,TheHstandardHmedicalHabbreviationHECGHrefersHtoHaHtestHusedHtoHassessHwhichHofHtheHfollowingHbodyHsyst
ems?H-HcorrectHanswer-CardiovascularHsystem



WhichHofHtheHfollowingHactionsHbyHaHbillingHandHcodingHspecialistHwouldHbeHconsideredHfraud?H-
HcorrectHanswer-BillingHforHservicesHnotHprovided




TheH><HsymbolHisHusedHtoHindicateHaHnewHandHrevisedHtestHotherHthanHwhichHofHtheHfollowing?H-
HcorrectHanswer-ProcedureHdescriptors




OnHtheHCMS-
1500HclaimHform,HblocksH14HthroughH33HcontainHinformationHaboutHwhichHofHtheHfollowing?H-
HcorrectHanswer-TheHpatient'sHconditionHandHtheHprovider'sHinformation




WhichHofHtheHfollowingHincludesHproceduresHandHbestHpracticesHforHcorrectHcoding?H-HcorrectHanswer-
CodingHComplianceHPlan



WhenHcompletingHaHCMS-
1500HpaperHclaimHform,HwhichHofHtheHfollowingHisHanHacceptableHactionHforHtheHbillingHandHcodingHspecial
istHtoHtake?H-HcorrectHanswer-UseHarialHsizeH10Hfont



AHparticipatingHblueHcross/blueHshieldH(BC/BS)HproviderHreceivesHanHexplanationHofHbenefitsHforHaHpatient
Haccount.HTheHchargedHamountHwasH$100.HBC/BSHallowedH$80HandHappliedH$40HtoHtheHpatient'sHannualHd

eductible.HBC/BSHpaidHtheHbalanceHatH80%.HHowHmuchHshouldHtheHpatientHexpectHtoHpay?H-
HcorrectHanswer-$48




WhichHofHtheHfollowingHindicatesHaHclaimHshouldHbeHsubmittedHonHpaperHinsteadHofHelectronically?H-
HcorrectHanswer-TheHclaimHrequiresHanHattachment




AccordingHtoHHIPAAHstandards,HwhichHofHtheHfollowingHidentifiesHtheHrenderingHproviderHonHtheHCMS-
1500HclaimHformHinHblockH24j?H-HcorrectHanswer-NPI



WhichHofHtheHfollowingHblocksHshouldHtheHbillingHandHcodingHspecialistHcompleteHonHtheHCMS-
1500HclaimHformHformHforHprocedures,HservicesHorHsuppliesH(CPT/HCPCS)?H-HcorrectHanswer-BlockH24D

, WhichHofHtheHfollowingHtermsHdescribesHwhenHaHplanHpaysH70%HofHtheHallowedHamountHandHtheHpatientH
paysH30%?H-HcorrectHanswer-Coinsurance



AHproviderHchargedH$500HtoHclaimHthatHhadHanHallowableHamountHofH$400.HInHwhichHofHtheHfollowingHcol
umnsHshouldHtheHbillingHandHcodingHspecialistHapplyHtheHnon-allowedHcharge?H-HcorrectHanswer-
AdjustmentHcolumnHofHtheHcredits



WhichHofHtheHfollowingHisHaHHIPAAHcomplianceHguidelineHaffectingHelectronicHhealthHrecords?H-
HcorrectHanswer-

TheHelectronicHtransmissionHandHcodeHsetHstandardsHrequireHeveryHproviderHtoHuseHtheHhealthcareHtransa
ctionsH,codeHsetsHandHidentifiers



Patient:HJaneHAustin;HSocialHSecurityH#H555-22-1111;HMedicareHID:H555-33-
2222A;HDOB:H05/22/1945.HClaimHinformationHentered:HAustin,HJane;HSocialHSecurityH#.:H555-22-
1111;HMedicareHIDHNo.:H555-33-
2222A;HDOB:H052245.HWhichHofHtheHfollowingHisHaHreasonHthisHclaimHwasHrejected?H-HcorrectHanswer-
TheHDOBHisHenteredHincorrectly



WhyHdoesHcorrectHclaimHprocessingHrelyHonHaccuratelyHcompletedHencounterHforms?H-HcorrectHanswer-
TheyHstreamlineHpatientHbillingHbyHsummarizingHtheHservicesHrenderedHforHaHgivenHdateHofHservice



AHpatient'sHhealthHplanHisHreferredHtoHasHtheH"payerHofHlastHresort."HTheHpatientHisHcoveredHbyHwhichHofHth
eHfollowingHhealthHplans?H-HcorrectHanswer-Medicaid



WhichHofHtheHfollowingHcolorHformatsHisHacceptableHonHtheHCMS-1500HclaimHform?H-HcorrectHanswer-Red



WhichHofHtheHfollowingHisHanHexampleHofHaHviolationHofHanHadultHpatient'sHconfidentiality?H-
HcorrectHanswer-PatientHinformationHwasHdisclosedHtoHtheHpatient'sHparentsHwithoutHconsent.




InHtheHanesthesiaHsectionHofHtheHCPTHmanual,HwhichHofHtheHfollowingHareHconsideredHqualifyingHcircumst
ances?H-HcorrectHanswer-Add-onHcodes



AmbulatoryHsurgeryHcenters,HhomeHhealthHcare,HandHhospiceHorganizationsHuseHtheH-HcorrectHanswer-UB-
04HclaimHform